Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Kentucky for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kentucky only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Kentucky (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Families Hope, LLC (NPI 1841691037)

Field	Value
Entity Type	Organization
Organization	Families Hope, LLC
Address	3847 Sugar Creek Dr
City	Lexington
State	KY
ZIP	40517
Taxonomy	Adult Care Home Facility
NPI Enumerated	September 8, 2014

Payer Source	Total Paid
Medicaid	$19.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	91,390	$190	$17.3M
T2021	Day habilitation, waiver; per 15 minutes	20,300	$70	$1.3M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	4,870	$160	$769.9K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.

Claims Volume vs. Kentucky Distribution

Families Hope, LLC — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	30	150	42,680	$190	$11.3M
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	79	310	830	$120	$3.7M
T2021	Day habilitation, waiver; per 15 minutes	63	150	16,130	$70	$1.7M

Nearby Providers

Other providers in the same ZIP code as Families Hope, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kentucky Medical Services Foundation, Inc	KY	Internal Medicine Physician	$0	$110.4M
Bluegrass Area Development District	KY	Case Management Agency	$0	$75.4M
Bluegrass Area Development District	KY	Supports Brokerage Agency	$0	$65.3M
Afton Communiy Day, Inc.	KY	Adult Day Care Clinic/Center	$0	$56M
Baptist Health Medical Group Inc	KY	Nurse Practitioner	$0	$54.1M
Central Kentucky Radiology PLLC	KY	Diagnostic Radiology Physician	$0	$17.6M
Lionheart Trauma Support Services, LLC	KY	Clinical Social Worker	$0	$3.5M
Johannes Evans	KY	Ophthalmology Physician	$291.9K	$588.5K
David Blandford	KY	Ophthalmology Physician	$260.1K	$58.1K
William Curtis	KY	Ophthalmology Physician	$216.2K	$84.2K

Families Hope, LLC — Billing Profile & Reimbursement Data

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Families Hope, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References